997 Cross Rd
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CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?Np _ 13298
PHONE: 454-8100 /la?
BUILDING PFRMIT` Receipt# ??
7o be used for SF DWG/GAR Est value $111,000 Date MARCH 3 19 87
SiteAddress 997 CROSS RD Erect 17 Occupancy R3
Lot 5 Block 4 Sec/Sub. GREENSBORO 1ST Remotlel ? Zoning Rl
Parcel No. Repair ? Type oi Const. V
Addition ? No.Stories
a Name FEATURE BUILDERS Move ? Length
z 15513 LOGARTO LN Demolish ? Depth 33
; Address Int. ImPr. ? Sq. Ft.
° cityB' VILLE Phone 435-8443 Install ?
o Name SAME
i
? a Address
a
?
Ciry phone
?Q
F W
Name
Address
i W City Phone
Assessment
Water & Sew.
Police
Fire
Planner
Council
Feea
Permit $ 536.50
Surcharge 55.50
PlanReview 268.25
SAC 625.00
Water Conn. 525. 0 0
Water Meter 67 . 00
RoadUnit 305.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr.PI. 180.00
information is correct and ree to comply with all applicable State ot
Minnesota Statutes a Ciry f Eagan Ordinances. APC PerkS
SignatureofPermittee +? Var.Date Copies Total $2•562.25
A euilding Permit is issued co: FEATURE BUILDERS on the express condition that
all work shall be done in accortlance with all applicable Stat? MesoU S1aWtes arfDCity of Eagan Ordinances
Building Otticial ?
'ar
16
BUILDING PERMIT
To be used for DECK
CITY OF EAGAN N? 19539
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ? ?, t eQr
?
Receipt # ??t? C.?
Site Address 997 CROSS RD
Lot 5 Block 4 Sec/Sub. GREENSBORO 15T
Parcel No. _
w Name T R FN & a HRYN MILLER
? Address 997 CROSS RD
City EAGAN Phone 688-6684
}F Name SAME
g: Address
5 City Phone
?w Name
x,Address
a W City Phone
I hereby acknowlege ihat I have read this application and state thet the
informalion is correct and agrae to comply with all applicable State of
Minnesota StaWtes and Cily of Eagan Ordinanceg. - .
Siqnature of Permite'/.
A Building Permit is issued toTERRENCE OR KATHRYN MILLE]
on the express condilion that all work shall be done in accordance wilh all
applicable State of Minnesota StaWtes and Cily oi Eagan Ordinances.
Building Oflicial
Occupancy
Zoning
(ACtual) Const
(Allowable) .
R olstones
Length
oePm
S.F. 7otal
S.F. Fooiprints
On Site Sewage
on ste wen
MWCC Syslem
City Water
PRV Raquired
Booster Pump
APPROVALS
Planner
Council
Bldg. OII.
Variance
OFFICE USE ONLY
20'
10'
Bldg. Permit
Surtharge
Plan Review
SAQ City
SAC,MCWCC
Water CAnn
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI
Road Unil
Park DeA.
Copies
TOTAL
FEES
25.00
.50
.50
26.00
..' - • CITY OF EAGAN A' 0 e
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v - ???? o
PHONE: 454-8100
BUILDING PERMIT Receipt#
Name ?+`'AL'4E
Address
MARCH 3
8?
Type of Const L'
No. Stories
Sq. Ft
Assessment
Water 8 Sew.
Police
Fire
Eng.
0
0
5
s W ? City Phone Planner Water Meter 67 • Da
Council Road Unit 305.00
I hereby acknowledgethat I have read this application and statethatthe gldg. Off. Tr. PI. 180.00
information is correct and agree to comply with all applicable State o(
Minnesota Statutes and City of Eagan Ordinances. APC Perks
r ,
Signature of Permittee Var. Date Copies -- TOtal ,5 5
A Building Permit is issued ta: FEATURE BU ILDEftS on the express condition that
all work shall be done in accordance with all applicable State of Mtnnesota Statutes and City of Eagan Ordinances.
Buliding OffiCiel
c? n ntan ln f n
ci>> nnn
Site Address y y/ LKUati Ku Erect -IL]
Lot 5 Block 4 sec/Sub. GREENSBORO 1ST Remodel ?
Parcel No. Repair ?
Addition ?
? ?vame FFATURE BUILDERS Move ?
=
a Demolish ?
kddress -15513 LOGARTO LN
t
?
Impr.
In
CityB'VILLEphone 435-$443 Install ?
_ PormR Na Permlt HoMa Date TMephorn N
Plumbinq
N.V.J1.C. J? / l?- L-,L J` t?'`i'/(? ?
Elschlc #' 'ao`JS c) c?i C
C 9,vd/ 01L7 5 G=
Softerw
InspecUon Date Insp. Commsnb
Footinps I -7 c?
Footinys II
Foundatbn
Framiny
Roolfny
Rouyh Plbp.
Rough Hty.
Insul. Sij ?.7 t, •
FlnplaCa
Flnd Hfy. -
Flnal Plby. ?/-
Bldy. Flnal
CBrt. OCC.
Deck Ftg.
Doek Frny.
We11
Pr. 01sp.
I 5ite Address
' MECHANICAL PERMIT ?
CITY OF EAGAN RECEIPT # r- ?? jG Rf
3830 PILOT KNOB ROAD, EAGAN, MN 55122 QATE: 7
3RICE: PHONE: 454-8100 -
m Name ILNtA/ t Z/74
Zm Address 9?9 U??r r.S Tl,v ?
c City N v r:? ??f?,`? ? ?f Phone
? Name FfATu.fC ..-w
3 Address
O ljifi/ __ L /llH hr
'J
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
f 12/2 M BTU
M BTU
M BTU
M 8TU
CFM
1
BIDG.TYPE
Res. ?
Mult
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA.
COMM/INQ FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
: -? ' a?.lJ= ?I??v ?/
S/C: ? sv SiGNATURE OF PERMITTEE
TOTAL• °? 6•0?
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY QF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122
PHONE: 454-8100
Site Address
?.
Lot Block Sec/Sub
?
Name '
a?
? Address
c Ciry w Phone
? Name ' I `
c Address ? 1
O Ciry -f'hone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RE5IDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PEFi PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
- .? ; ?C•, ? ? , •?.?
SIGNATURE OF'PERMITTEE
FOR: CITY OF EAGAN
PERMIT # ??X y (L %
RECEIPT ik ':2
? c..'• i
DATE: --? ?- '
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?-
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
--Bath Tubs - $3.00
Lavatory - $3.00
? Shower - $3.00
Ki!chen Sink - $3.00 ?
Urinal/Bidet - S100 ?
? Laundry Ttay - $3.00 1
? Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
i_Ges Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: - ?
STATE S/C:
GRAND TOTAL: ?
PERMIT ri 1-2 9 0
PLUMBING PERMIT RECEIPT # 7G? SL.' ?
CITY OF EAGAN `? ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE /pqL') PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ? Sec/Sub Res. New
Mult. Add-on
? Name Comm. Repair
n?
ig
Address ?
Other
c Ciry P bne - ONLY - COMPLETE THE FOLLOWING:
RES
PLBG
.
.
NO. FIXTURES TOTAL
` Name ,
l Water Closet - $3.00 $
3
Address 9 ?-? ; Bath Tubs - $3.00
00
L
$3
avatory -
.
O City Phone - Shower - $3
00
.
Ki!chen Sink - $3.00
FEES Urinal/Bidet - 5100
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) _
C
(ADD $.50 S/C IF PERMIT PRICE GOES -LSoftener - $5.00
'
BEYOND $1,000.00) Well - $10.00
, Private Disp. - $10.00
_ , f ?_ ? • Rough Openings - $1.50
SIGNATURE OF PEpMITTEE FEE: ' -
STATE S/C: '
FOR: CITY OF EAGAN GRAND TOTAL:
r
/
(Itrtt#iraft orf (Orrupttury
titp of (Eagan
DpparbtPti# Df EvOtttg ]WPtftDtt
This Certiftcale issued pursuant to the requirenrents of Section 306 of the Unifonn Building
Code cernfying that at the time of issuance this structure was in compliance wit/r the various
ordinances of the City regulating building construcdon or use. For the foTlawing.•
u: ct.ur.o. ?F I'WG/GAR e?4. ?mnit No. 294
o--p.ncy Tya Zvnmg astrice .rype C. V
Owoer of &u7ding pddrm i .S ?1?C',A: <:1 ?' - r', ? "1 T
Building Addrcm ,- •?is Lmhty - ? ?/. 9 ? r ?: j?.,• ,.r :;x'`
Deu: -
Mdios Official
POST IN A CONSPICUOUS PLACE
Site Address 942 C2mS IID
Lot 5- Bfock - 4 Sec/Sub. GREEMSBORO 1S?
OFFICE USE ONLY
ParC81 N0. Occupancy - FEES
Zoning -
W Name ''FBRtt1?1eR A. iLY'e7taYN [yI -L B Permit 25.00
IACtual) Const
Bldg
o Address 992 C?S n .
-
I,viow?ie> -
?
City AwCAN Phone 689-5684 surcna •
# af Stories ?e
20' Plan Review
o Name -$ANL Len9th
Oepth 1ae snC
Ca
Z ,
y
?? Address S.F. Total -
SAC
MCWCC
? City Phone .
S.F. Footprints -
t
W
C
? a
er
onn
pn Site Sewage _
¢
W
W
Name
On Site Well
I'- w
x I-y
AddfBSS - Waier Meter
MWCC System _
¢ z
a W
,
City Phone ,
AccR Deposit
City water -
PRV Required - S/W Permii
I hereby acknowlege that I have read this application and state that Ihe
inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. _ Booster Pump - S/W Surcharge
Treatment PI
Signature of Permite8"--- AP?AOVALS Road Unrt
A Building Permit is issued tcr"RUNCE OB lU'I'HRYN !lI1.LER Pianner - Park Ded.
on the express condition that all work shall be done in accordance with aIl
applicable State of Minnesota Statutes and Cit
of Ea
di
O Council ?
ids •
Co
y
gan
r
nances. gld9, pff. _ p
Building Official ?? 1'; ??L
t
Variance - 2a
TOTAL `?
Permit No. Permit Holder Date Telephone #
WATER
SEWER .
PLUMBING
H.V.A.C.
EIECTRIC
Inspection Dpte Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plhg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plhg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
- - IN
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
TIaN
SITE ADDRESS: ' I-N } H 301_WN d``" 04
11,11 . I,
f f?k? t"N`?I?r?f?tr
PERMIT SUBTYPE:
•,i :01 : ,
;coRn
PERMIT TYPE:
Permit Number:
Date Issued:
Et11 1. 1 ii [ NN
p;18r.3,•
N8r2ef9b
APPLICANT:
,iW ' ,,, .t $I,
( i I !, ) 4 .'!> ;'`Ihh
TYPE OF WORK:
tIl '.+ N 11, I I'IN
1-
A1 1 1- 0 A(IIIN
t<i" =, l l!0
s • ? ,? ? ?
3
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Date (nsp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR Tf-ST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
?f??
"1G
??/??
rii
!
-
BSMT R.I. - .
-
-
? --
BSMT FINAL
DECK FfG
DECK FINAL
a
. ?
U
a°
0 o m ?
V C LL ?
m?
?a r
i
V ac?c'n
c
a
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w
W
0
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?
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O h H ?'S ?
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N f- Gi z 1"1 2? ,
Om? a
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ON`? N w •
m o ?
O ? C p? m Q'G • C
C? ? Wv
?dWr? o va ¢ _p
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Q ? N
Q
a 0 ? ?
Pit
W m ?
Q a
w W Z ?w
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N O O 2
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V
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o v? o?
? o Z
Z Z ? m m d ?
a2 oc ,
v '.
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10
1L N Z
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cy 'a m G
0
J
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N
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a
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I
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W
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r
05
?
C
m
w
?
ov
00
ii, ai ai °? I
?j ai U- +1
a d
U a a uj F?
BLDG. PERMIT ti0.
Bldg. Permi*_
? Plan Check
Surc'h. /hdm.
SAC/Adm.
Surcharge
H
? Road Unit
W SAC
a
W Water Conn.
m U
? Water Trmt.
W Water Meter
N
Acct. Dep.
W
a Water Permit
3 Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
?
}
m
? ..
?
?
.?
E-?
c v
/ •r?:i '
This request void
B months irom
? 9 2 2 21
sgV7 sc7
Request Date
/
4 Fire No. Rough-in Inspection
Required?
FE]Ready Now iII Natify, Inspec-
to
Wh
R
- /
- Yes ? No r
en
eady
? Licensed Electrical Contractor 1 hereby request inapection of above
? Owner electrical work iFkstel led at:
Street A
ddress, Box or Route No. City
?
/
/ q l r/ J
ection o. Township Name or No. Range No. Counly
Occvpant IPNINTI ? Phone No.
i ,
'e?
??6
Pawer uDP?ier
i
` Address
Electrical Contractor iCompany Name) Contractor's License No.
&<'- A(
Mailrnp A dress (Contractor or Owner Ma ing Instailation)
? 7
Authoriz8d Signature.ICgniractor/O er Making Installationl Phone Number
/ -_`_' G ? J
MINMESOTA S7ATE BOARO OF ELECTRICITY TIi15 INSVECTION REQUE5T WILL NOT
Griqpa-Midway 91d9. - Noom N-191 BE ACCEPTED BY THE STATE BOAR6
1821 Univeraitv Ave.. St. Psul, RIN 66104 UNLESS PROPEN INSPECTION FEE IS
Phone1612)642-0800 ENCLOSED.
?-X/ cc% 7 REQUEST FOR ELECTRICAL INSPECTION EB-OOOD1-05
, See inatructions lor completinp thia form on back of yellow copy. ry?J 7O
C "X" Below Work Covered by This Request
AAd Rep. Type oi 8uilding
Applianees Wired Eauioment Wired
M Fee ServiCeEntrAnceSize # Fee Feeders/Subfeeders tf Fee Circuits
0 to200Am s 0 to30Am s Oto 30Am
Above 200 Amps 31 to 100 Amps 31 to 100 Anys
Swinxnin Pool Above 100_Am s Above 100_Am •
Transformers Irrigation Booms Partial-'Other Fee
Remarks S TOTAJ EE?
Final certity thei the above
Date
? ?'7 inspaction has been
/?• i i ?/Jit L! /., 1tr? / mede.
-7?V6 ?
2007RESIDENTIAL BUILDING PERn-[rr nrrLicaTrorr
City Of Eagan
3830 Pilot Knob Road, Eagan ll'IN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New ConsWCtion Reauirements -
3 re9istered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20°k maximum iot coverage allowed)
1 Soi1s Report If proposed building is to be placed on tlisturhed soil
2 wpies of plan showing beam 8 window saes; pouretl (and design, etc.
1 set of Energy Calcula[ians
3 copies of Tree Preserva6on Plan if bt platted aRer 711193
Rim Joist Detail Options selec6on sheet (buildings with 3 or less units)
Minnegascro mechanical venWation form .
RemodellReoair Reauirements
2 wpies of plan showing footings, beams, joists
t set of Energy Calculations Wr heateA ad6itiais
1 site survey fir additions 8 decks
AddAron -irMicafe il onsife sepfic sysfem
?IG' c6
Office Use Onlv
CedofSurveyRecd ? _Y',_N
SoilsRepmt YN
Tree Pres Plan Recd Y. _ N,
Tree Pres Required ? . _ Y_ N
OrvSiteSep6tSystem _Y_N
Plans are considered public informafion unless vou state they are trade secret and the reason.
Date :)7 / = 7` /0 --?" ?.
Construction Cost , ?
J
Site Address 0
??(
' /24;)
Unit/Ste #
Description of Work /`/C
Multi-Family Bldg _ Y? N- Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner 1'f y'LG)'- d-T.?'(.?lF Telephone#(?1,])
Contractor
Address p
City .).4)ve
y/f
State A7j!/ Zip Telephone #( 9$'-Z ) Z Zg,'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minneso[a Rules 7672
Eflergy Code Category . Residential Ventilation Category 7 Worksheet ? New EnerBY Code Worksheet
(V submissiontype) Submitted Submitted
• Energy Envelope Calculations Submi[ted '
In the last 12 monihs, has the CiTy of Eagan issued a permit for a simitar plan based on a master plan?
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I herebv applv for a Residential BuildinE Permit and acknnwlerlue
comnlete and accurat
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. C
Ap'p icanf's P?mted Name Appficant's Signature
SERr? ?u? `?„tS;
Telephone # (
Telephone #(
Telephone #(
.?&? ? CITY OF EAGAN ( iff n ?
? 3830 P{LOT KNOB RD - 55122 ?"?
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
nstruclion Reauirements RemodellReoair Reaviremen
? 3 registered site surveys ? 2 oopies oi p{an
? 2 copies of plans (include beam & window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for healed additions
? 3 coples of tree preservation plan if lot platted aRer 7/7193
required: _ Yes No
DATE: 0-0`?? CONSTRUCTION COST:
r-, ?- --? ?
DESCRIPTION OF WORK:
STf3EET ADDRESS:
T ?-5 BLOCK ? SUBD./P.I.D.
PROPERTY Name: ? 4l ? ? e=O Phone #:
OWNER `"S' ""'T
Street Address: 59:Z
Zip: ?sl Z?
City: State: Vq tL
CONTRACTOR
ARCHRECTf
ENGINEER
Company: ?fJ? IL) IL--19Yr ? r? 1?r?S P h o n e #: 71S
Street Address: Ir) G'r`/ ? License #: ? 9}'9
City: au_G State: L-(-)I _ Zip:?
Company:
Name:
State:
Street Address:
City:
Sewer R water licensed plumber: NL 11?_
change are requested once permit is issued.
Phone
Registration #:
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes No
_ Yes _ No
- -1 PERMIT
CITY OFEAGAN
3830 Pilot Knob Road PERMIT TYPE: e u z Lo r NG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 6 3 2
(612) 681-4675 Date Issued: 0 8/ 2 6/ 9 6
SITE ADDRESS:
997 CROS5 RD
LO7: 5 BLOCK: 4
GREENSBORO
p.I.N.: 10-30900-050-04
DESCRIPTION:
ResInE
Permit Type SF (MISC.)
4pr,?k Type ALTERA7ION
C}o .%,, 434 ALT. RESIpENTIAL
`-
,?- ?.
?F -
_ Ala
? ??s
??6e i g 3
_ 3 _ i? 1. W ??
!9k .
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee $112.25
Surcharge $3.00
Total Fee $115.25
$6,000
CONTRACTOR: - Applicant - sr. Lzc,OWNER:
SUN RAY BLDRS 14252950 0908988 MILLER TERRY
7540 • COUN7Y ROAO F 997 CROS3 RD
RIVER FALLS WI 54622 EAGflN MN
(715) 425-2950 (612)668-6684
.
.: r
. m. -
, ?_ r . -• e ,.s
S herebY ack.hszaledge that; 2 have T?ead 'this .applVca,tio,n ,+ari`3# °state Chat;the
E.._ .. _:. .
APPIICANT/PERMITEE SIGNATURE
ISS D BY: IGIJ`ATURE r
. 132?94'
7987 BIIILDING PEAMIT APPLICATIOH - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLDDS 2 SEfS OF PLANS* 3
OF SQftOHY, 1 SET OF ENERGY C9LCULATIOHS
AOTS: ADDRESSES FOR CORNBH LOYS - CONTRACTOR/HOMEOANER MQST DESIGHATE i1HICH ADDBESS
IS DFSIRED. NO CHANGES FIILL BE ALLOWED ONCS BQILDING PERMIT IS ISSIISD.
MOLTIPLE DiiELLINGS - RFSIDSNTI9L
INCLUDE 2 SETS OF PLANS, CSR
1 SET OF ENERGY CALCULATIONS
CO[+AERCI9L
RENTAL QAITS FOR SALE OATiYS
OF SQRY6Y - CHSCB iiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SE2 OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
? I (I (.{?J
To Be Used For: '2etv-/46-/ue ta?%4'Valuation: -r?57? Date: 3I315'7
Site Address g 9 7- (%U-9-a- 9 -
Lot 5? Block ?
Pareel/Sub l?e.Qp?a-? /.e? C+?cJcc.lZrti+
Owner 9--Za7blvw-
Address 1575-13 - i
City/Zip Code L-Pt.?YQ,??
Phone 4L 3 ?-- $Lf'!3
Contractor
Address
City/Zip Code ,?n?.c?w.?w.?y SSs?'?7
Phone
Areh./Engr.
Address
City/Zip Code
On Site Sewage_
MWCC System ?
On Site Well
City Water ?
arPROVaL.s
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy K•3
Zoning (Z?
Tyge of Const
(Aetual) ?
(Allowable) 27--
# of Stories
Length Coo
Depth 33
S.F. Total
Footprint S.F.
Fses
Permit r`J'??•?
Sureharge ?5, so
Plan Review 21ob-?s
SAC, City (OO
SAC, MWCC SZS.
Water Conn SZS
Water Meter (0"7.
Road Unit 3D S
Treatment Pl 1 gD•
Parks
Copies
TOTAL ?
1^
Phone #
ZQ oo? 4?-
Z-x24- - Lr--;, x(Z.
rv foo . K g ? ?300
x3Cs?> =(c?? x 4? ???f3S Z
.,--
?Iot s ZB
` t"F'!LLIPS PLAN SEnVi?E' PHILLIPS PIAN SERVIC
' eso w. 1+sm sww ,
i • PIpte v?:Wy' KtH 68120 EXTERIDR ENVELOPE kYEttAGE "U" COMPUTATION
OWNER 2 20I At) C.
-
SITE ADDRE55 i 9"7 - G'LO'?- 1etQ . '
fANTMCTOR DATE .Jf5l"S"2 PHONE ? 3 S= 8?f y;? _
I
,
Determine working square footage of each.
1. Total exposed Mall area ...... M-?$8•3) sq. ft. x
2. Total roof/ceiling area .... lOOb sc}. ft. x .4??,= .2
Total exposed xall area above floor
a. Total wail window area ...........................
b. Total door area ... ...........................
e. Tatal sliding glassdoor area ....................
d: Total firepiace wall area ........................
e. Total wall framing area (average 10%)...........
f. Total net wa71 area above floor .................
g. Total rim 3oist ares ............................
Total exposed foundation area = $4 •y $
h. Total foundation window area ..................... La.3
1. Toal net foundation area above grade ............ -'
Determine "U" value of each wall segment.
, a. Z Bb.-4 X°U" t 3L = 89 ?Z
h. 3 S xliuii ,134 = 5,'t8
C. 4L4 x°uo, , 5 = zz
a. ya X „u„ ,31p = '7, Z
e._ Ibg.11n X HUll o9to = _ 15?L
8q x°u^ . oy 3= ??.?
g. 156 Xoluit . Oq
n. 6.i3 x„V , 55 = 3.37
, i._ ') At 18 x „v, . o97, = 1
3 ............. Z388,31 Total = lo'?
........................
If item 03 is tfie same as, or ]ess than item fl, you have met the intent
of 5$C 6006(c)2.
+ .
1?
,; ..: ..,:. _ . ,..
?: . • ;..
_.;---
,
. Total exposed roof/ceilin9 area = 100A
_ Total gross roof/ceiling area = I op 2 .
.. ?. Totat skylight area ........................ 10
k. Total roof/ceiling framing area ..........' 2
1. Total net insulated roof/ceiling area....... I?
. Determine "U" value
' J. .. Lo x
k. I OOIL X
1. 901.6 X
4 ...................k 00 8...
for each roaf/ceiling segment.
.ou.,
nVoi l041 - Z, q
otuil .OZ.Z = Q,S
,,,..Total
If total af #4 is the same as, or less than 02, you have met the intent of
56C G006(c)T.
To utilized the total envelape system method, the vatues established by the
sum of items 93 and #4 sha1T not be greater than the sum of itens i7 and B2.
1.
3
MATEBIALS
Ezterior Air
Siding Maters.al
Sheathing
Insulatiaa
Sheetrock
Interior 6ir
StYdB
RLn
Conc. Blks.
?
._ ?
+ 2.
+ 4.
Therm. Eesistance "Et"
.19
O`tS
26Olo
.?S
, b8
•Sh
l, RS
L 2G1
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWSR PERMIT (INCLLDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SCRCHARGE ) •
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ISC'Z' ACCOUNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
$ WAC
-$ c-U S SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 1,3 Ic2? $ TOTAL,
... 712-_ .5 3
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATiON IN PUBLIC RIGHT OF WAY?
F__j YES :IF YES, THEN A"PERMIT FOR WORK WITHIN PLSLIC •
ROAQWRY° MUST $E ISSUED 8Y TF1E ENGIAiEERZNG
El Np DTVISION. . LIST AS A CONDZTION. .-.,., .:^
<- r
SUSJECTt;TO THE FOLLOWING CONDZTIONS:
APPROVED BY:
TITLE:
° IIATE:
"// e'/c ;?,
; . o
*xfxxftr?f:wfx?*i?*k64rh##?**e!#*#8 #
- CITY OF EAGAN ? ??? ?F?, ?? *
* APPROVAi. OF PEHNIIT. ?
APPLICATIQN FOR PERM9IT w ?
* IR'SPDLTION oF SESER RND/CR 4ATFR *
,*F 7tZrnra.amrONS WiLL N7R' BE ,SCfm- +
SEWER AND/OR WATER CONNECTlrJN ?ULID uNrIL Pm,1rT Fm.s sEEN *
? APPROVF9. ?
r ?
r +
...• *****#!##*A**Y!#A4*t**A#*3***firA#44F**
Please Printl
1) PR4PERTY ADDRESS: 927 Crossroad -
LEGAL DESCRZPTION: Lot 5 Block 4 Greensboro lst Addition -
Lat Block Subdiviszon or Tax Parcel ID ) -
IF E7ffSTING STRLY,'iL1RE, DATE OF ORIGZNAL BLILpZNG pIItMLT ISSL'ANCE:
PRFSEWT ZONING/PROPOSID C?SE: ?bbn Xear)
COb'YIERCI11L/REI'AIL/OFFICE ? R-1 SSNGLE FAMILY
YNDL'STRIAL Q R-2 DL'PLEX (T4iD LTnits)
0 INSPIT..TIONAL/GOVEFtM,1ENT ? R-3 TOWNHOUSE (Three + Units) ( Cnits)
R-4 APAR'ID=/COIv'DONIIISIL'M ( Units)
2)
.r.??
NAM: Northrup Mechanical Inc.
ADDRESS: 7640 146th Street ,
CITY, STATE, ZIP: Apple Valley, MN 55124
PHONE: 432-0175
3) i:7•
NAME:_ Nnri-hrnp Mechariir3 II1C
AADRESS: 7640 146th Street
CITY, STpTE, ZIP: Apple Va11ey, MIv 55124
PHONE: 432-0175
MASTgt LICENSE#
4) om o ? ia?• -
NkME: Feature Builders
ADDRESS: 15513 Logarto Lane •
CI'P1', STATE, ZIP: Burnsville, MN 55337
PIMM: 435-8443
a ACt1VZ
H ncpired
Not recorded
StaYf?Initlal
5} n e r• • r• a• - a?
? CANNDGTION Zt7 CTTY 5EWER ? OOmzCI'ZON 1oCITY WATER Q OrdEk2 '. .,
6) [a PLEASE HOID APPROVFD PERAIZT FYH2 PICK-UP BY ONE OF AHOVE
'. ? PLF135E MAIL APPROVED PERMIT 7V 1. 2. 3. 4. AAOVE
(Circle one)
7) n r. u• -?j?`,_?tan Northrup e• 3/9/87
1991 BIII II m A ICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
• 2 SETS OF PIANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCIILATIDNS
MULTIYLE DWELLINGS COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SIT& SURVEYS - & STRUCTURAL PIANS
(CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENEAGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIE5 iJllEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WEIICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT M[IST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: ? Date: jr,-6' l?
"7 4?.d
Site Address
I.ot 5 Block ?
Parcel/Sub ?y2e,..r6ovo /S:? Act4
Owner /°- pve,.p-. L. LCo-?i-yn ?. H?; /+t'.-
Address !q'? C-a.rj X?)
City/23p Code ?,
Phone 6?8- 66PY"
Contractor /'?t, J
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
OFFZCE USE
FEES
Occupancy Bldg. Permit 2s'00
Zoning Surcharge 1?0
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWGC
Length ,ZO Water Conn.
Depth /O Water Meter
S.F. Total Acct. Deposit
Footprint S.F. 5/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well _ Road Unit
MWCC 5ystem Pazk Ded.
City water _ Trail Ded.
PRV Copies iS"a
Booster Yump _
SIIBTOTAL
APPROQALS Penalty
Planner Lot Change
Council TOTAL 26,00
Bldg. Off
Variance
Sewer/Water Licensed Contr.
agrees that all woik shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
TRi-LAND CO.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
9io<o
? .,--
i_?i i
.?
0 0.
/
?
9 rv.CQ,,?'
SITE PLAN FOR:
FEATURE BUILDERS
?? \
?
/ a s
pyo
\e01
?9157 ? ? o
2T o3?
\ O8\
5 Gq?
?r. ?.
'
i'71 11
A c?Xy
kp 57 Fp ?O
a
N
SCALE: I"= 30'
i,.
?
,
> 'a
/ aS
OQ , \?? ?
04:?? ?
PROPERTY DESCRIPTION \
LOT 5 , BLOCK 4 ,
GREENSBORO I ST ADD.
accordinq to the recaded Dlat thsreoi
DAKOTA cwntr, Minnesota
IEGEND
o pENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
(9/OcO)DENOTES EXISTING SPOT
ELEVATION
915.8 DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 harsby certify tAat this survsy,plan or
rsport wos prspored by me or undsr my
direct suparvision and that 1 am a duly
Repistered Land Surveyor under tha
Laws of the State of Minnesota.
'AvoRac r/vv = 9cs
PROPOSED GARAGE FLOOR ELEVATION =9/ rD
PROPOSED FIRST FLOOR ELEVATION = 919,Y
PROPOSED BASEMENT FLOOR = 90900
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley ?,/,SNenson, Mn. Raq. No.18235
Date :
TRI-LAND C0. SITE PLAN FOR:
SURVEYING
SERVICES FEATURE BM PERS
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
(9/oa O)
yio.o
IL - i:l 4
0
EXiJ?N' ? !/? •
?
('0;v? o \
?
,
?
? s
5 ?- ?s vo
o
Cf/SeG? . 9yv- \ se 46.
.
? x?X F
s
A P?X?
s FO ?O
r ??
PROPERTY DESCRIPTION \
LOT 5 , BLOCK4 ,
GREENSBORO IST ADD.
accordinq to the recordad plat tharsoi
DAKOTA caunly, Minnesota
LEGEND
o pENOTES IRON MONUMENT
o OENOTES WOOD HUB SET
(9b4)DENOTES EXISTING SPOT
ELEVATION
91.3;S DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 iNnby ceAify fhaf this survey,plan or
report was preparad by mn or under my
dirsM suparvision and fhaf 1 am a duly
Rsqistsrsd Land Surreyor undw ihe
Lawa of the Stme of Mirmssofa.
os4-D
?
,o i
%" <s??
N
SCALE: I "= 30'
r3
' ,44 (o? o?? `V
AeORo.r .rNV = 90
PROPOSED GARAGE FLOOR ELEVATION =
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR =
ELE VATI ON
9[Y?s
4?
NOTE * VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Brodley ??$wensonj Mn. Req. No.15235
Dote
?
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152653
Date Issued:10/24/2018
Permit Category:ePermit
Site Address: 997 Cross Rd
Lot:5 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael W Boldt
997 Cross Rd
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
'`
� E AG A N
� i i f ::::
5 S , ,,,e,
e:
Date Received: 13-7-/7/7
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 MAY 15 2019 Staff: Celb
buildinginspections aecitvofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: 1/1/1,tv<C -4 Vr(PILL c- itPhone: �v5'1."'.35 3- (P2
Reside„ri //��
owner Address/City/Zip: cc7 7 1�0 SS /COBS Q/ rit--3 /$ �/V .5-57z 5
Applicant is: Owner Contractor
Type of Work
Description of work: 1A5ar ti ) V "
" '- V.:'. 2N C --?A^oiP42- t ` (:
Construction Cost: -72
bD0 Multi-Family Building: (Yes /No )
Company: 1(?1A10 (rVtL 6 Drl 5 �-`-'c • Contact: ILdS -.1" G.r c'?>
(�'C-7 50, . E � e-� (5_
i r(nY)
Contractor Address: City: few �
State: All Zip: 55 I ?Z Phone: 9,5T-/q1/'56-9Email: k SIRMST- - 0i-ISO NLZU0,<di.1
License#: I6L 665 2t 3 9. Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor:' ' , . , _ .`•. Phone:
Fire Suppression Contractor: Phone:
„NOTE:Plans and supporting documents that you submit are considered to be public of r`mation. Portions of the information-May be
clas`sii d as,non-public if you provitee specific reasons.that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City'of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior Work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start with.. a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla
x 4 f et- S /kti-1 ��
Applicant's Printed Name Applicant's i r nature _
, C r o ss is)'zg
DO NOT WRITE BELOW THIS LINE <
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) — Exterior Alteration(Single Family)
tSingle Family _ Garage Porch (4-Season) — Exterior Alteration (Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level — Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration Fire Repair _ Windows _ Demolish Foundation
—
Replace — Repair Egress Window — Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Z Occupancy MCES System
Plan Review Code Edition _ SAC Units
(25%_100% ) Zoning City Water
Census Code 1131e Stories Booster Pump
#of Units I Square Feet PRV
#of Buildings / Length Fire Suppression Required
Type of Construction .. Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
"- Footings (Addition) Final I No C.O. Required
Foundation *6'Foundation Before Backfill HVAC_Service Test Gas Line Air Test Hood
0 Roof: '-Ice & ater Final Pool:_Footings Air/Gas Tests _Final
y� Framing 1/30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final '- Siding:_Stucco Lath Stone Lath _Brick_EFIS
4f- Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES /7/ 0 k Sit•4Jay ADI 0;74 Ili /it 994 4".,
Base Fee 33 9
Surcharge )7/ 0 6A4101- rrl)pc L 13 6 S
Plan Review a..10 67.J4e...9,7y by /,7'c'e#d glN�1/l HQ.2.0 " /1G go
MCES SAC T
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
/ . .s---e-,796
, g 7 Cer<( a: do-60_ 114----:t-6.'--J.1./Ai-41414:.
TRI -LAND Co. TE PLAN FOR .
SURVEYING
Ai
SERVICES FEATURE BUILDERS
4655 N1COLS ROAD
EAGAN, MINNESOTA 55122
(9io*0
LOT 4ell
s/\ N,
.,4(/ \ 1
CA A
� �349 6 / 6\ 6)57
•
r`°/,
/
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'ETtAit� /�.O 5 '� b� o
0 PA
'4p / C'/5i0) yp' Sc97 ,
/ - t xv.
z5 *),Vo
1' 4 / P�} ►i_VON
04c7 - rabyliYa�
P �fi a n/ /I
e \
Cp�vT 9 s \ c PtAti S�iacn
>_ k. 1. l4
ap 5 G
•
03. 4X •:-4,31s.,, : > Y/fej,v./
DRIITIV
r /
aS
S �"y\ � 00%t�`
571276\ e? 4O�
EAG AN `Q� •0p 'a D� �
R -VIE EL ss AQ . ( \I"
)0 31.42 0
TE: ,7//7//9
\i70 A=90° 0�i
BUILDING INSPEC I IONS DIVISION ��
PROPERTY DESCRIPTION
LOT , BLOCK 4 ,
GREENSBORO 1ST ADD. CI
according to the recorded plot thereof
DAKOTA county,Minnesota
LEGENQ APPROX PNU= 76.5-
43
fo DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=_`�/IrO
° DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
(9loCo)DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = C
ELEVATION ELEVATION
9/. S DENOTES PROPOSED SPOT
ELEVATION
K.--- DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby certify that this survey,plan or Alai/
report was prepared by me or under my t -"direct supervision and that I am a duly Bradleywen son, Mn. Reg. No. 15235
Registered Land Surveyor under the
Laws of the State of Minnesota. Date : 3,/,7412
For Office Use
E AGA N Permit#:
•- •• �0
�.., Permit Fee: O
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
Email: buildinainsoections(a citvofeacian.com Staff:
Commercial Plan Submittal:eolanscitvofeagan.com L
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 77/1//? Site Address: ? ( 7 (' KO.5 S
Tenant: Suite#:
Resident/Owner Name: Phone:
Address/City/Zip:
Name:Aa/..444e5 eci,,‘ License#:
Contractor Address:/5�y0 ,Si /1/e/o€ ,j1 44) City:
State: "741,...4A___
4.— Zip: 5.530,4Phone: -763--4121--Z4//�1
Contact: ace_ 4 bt..44e5 Email: i _._ L, i . _ ,
RESIDENTIAL
Furnace
Air Conditioner
Permit Type
Air Exchanger
Heat Pump
)( Other
New Replacement Additional X Alteration Demolition
Type of Work
Description of work: gu,--i &,'(C -1-n acid }'��N tie am.—) vad-
1l wJ / s ft`&L 4- ) /. � n j],/yeiv
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of
the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that
the work will be in accordance with the approved plan in the case of work which requires review and approval of plans.
r s x
Appl nt's Printed Name Appli a s Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156636
Date Issued:07/10/2019
Permit Category:ePermit
Site Address: 997 Cross Rd
Lot:5 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-050
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael W Boldt
997 Cross Rd
Eagan MN 55123
Johnson Plumbing & Heating
9825 170th St E
Lakeville MN 55044
(612) 243-3965
Applicant/Permitee: Signature Issued By: Signature
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Permit Fee: / ,:: • / I
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3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 E CVE Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5 Staff:
buildindinspectionsecitvofeagan.com
APR 3 0 2020 1
2020 RESIDENTIAL BUIL ' , - : iT IT APPLICATION
Date: Site Address: Unit#:
Name: Pk-- -01e.. 1 k --- Phone:
Residents t
Owner Address/City/Zip: `�.-1 ''''''(e.05-' 40_,J
Applicant is: Owner /( Contractor Pi) &i .er-f/ibt)ieo
Type-ofiWork
Description of work: /V e - VJ—G
Construction Cost: S.S 5-0 Multi-Family Building: (Yes /No )
Company: Ploo,,k (�.,� eV b'`"e2 S \Contact: t e 5,1-1
Contractor Address: I S7 SUFI,) 7 City: t �W\--►
State:AN Zip:S�(22 Phone:-tV-tt -563\Email: e. c RA IQPl_GOJL 1') .0
License#: ( ( !'OO2 3'9 , Lead Certificate#:
If the project is exempt from lead certification, please explain why:
tiGT 7--0 vf7.4-rS 7" "/+7 r&4 52.Q4cE S ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents.that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they4tre-trade secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without .. •-rmit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plan -
X �0 D/15 .� 2 x .ice- .
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE g q 7 C p�CSs ired, / //6 Qs
SUB TYPES '
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi X Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level — Pool _ Accessory Building
WORK TYPES
}( New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace — Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation ii:Dc.c, Occupancy i gc - I MCES System
Plan Review Code Edition (-,)c: SAC Units
(25%_ 100%_) Zoning i>> City Water
Census Code 173Y Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ; Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
—
k Footings(Deck) Final/C.O. Required
Footings (Addition) X Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
K Framing 30 Minutes 1 Hour Drain Tile
—
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire WallsFire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: S: Ale asci , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
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r 99
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TRI-LAND CO
SURVEYING. SITE PLAN FOR:
SERVICES FEATURE BUlt..DERS
4655 NICOLS ROAD
EAGAN, MINNESOTA' 55122
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DATE: ."I//',I/7 ,t9 31.42
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BUILDING INSPEC I IONS DIVISION dQ)
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PROPERTY DESCRIPT1+ - !
LOT- , BLoc+c�., 0..4.,GREENSBORO 1§T ADD, G
according to the recorded plot thereat
DAKOTA ca ay,M,
ImMill APPROX.:LAW= *-f-
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cSa DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION t , -
e DENOTES WOOD HIM SET PROPOSED FIRST FLOOR ELEVATION■
(9A0IC DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR * -i-
ELEVA9/XII DENOTES PROPOSED SPOT ELEVATION
ELEVATION
, -DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR (HEIGHTS WITH
FINAL HOUSE PLANS
I Misty certify that tMs sarrey,plan or
report Wan prepared by Ives or under my ,rna
direct riar and that I ua duly Bradley wen son, Mn Ra No.d@55
1. Registered
ed LLenunder Surveyor ander the
Laves of the State of Minnesota Date
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162990
Date Issued:08/10/2020
Permit Category:ePermit
Site Address: 997 Cross Rd
Lot:5 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-050
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael W Boldt
997 Cross Rd
Eagan MN 55123
(651) 454-8979
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165488
Date Issued:11/03/2020
Permit Category:ePermit
Site Address: 997 Cross Rd
Lot:5 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael W Boldt
997 Cross Rd
Eagan MN 55123--225
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176114
Date Issued:05/02/2022
Permit Category:ePermit
Site Address: 997 Cross Rd
Lot:5 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael W Boldt
997 Cross Rd
Eagan MN 55123--225
(651) 353-9817
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature